Anish Thomas Peter, ANISH PETER

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

50855 Issued in AZ

Practice address

2175 Park PL
El Segundo, CA 90245-4705

Phone

(310) 354-4346

Fax

(469) 294-0993

NPI assigned

Sep 29, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Anish Thomas Peter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1285884098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 PARK PL",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454705",
            "telephone_number": "310-354-4346",
            "fax_number": "469-294-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 PARK PL",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454705",
            "telephone_number": "310-354-4346",
            "fax_number": "469-294-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "ANISH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "ANISH PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R71060",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "50855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANISH",
            "last_name": "PETER",
            "middle_name": "THOMAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Adesina Perry
• Christian Perry
• Kamron Perry
• Tanisha Perryman
• Skylar Person
• Katelyn Peters
• Nicholas Peters
• Linda Peterson, M.A., CCC
• Matthew Craig Peterson, M.D.
• Shalanda Peterson

• Internal Medicine Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.